Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis
Background: Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adole...
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Format: | Article |
Language: | English |
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Taylor & Francis Group
2024-12-01
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Series: | Health Psychology and Behavioral Medicine |
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Online Access: | https://www.tandfonline.com/doi/10.1080/21642850.2024.2305741 |
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author | Komal Abdul Rahim Natasha J. Egglestone Irakli G. Tsagareli Wania Usmani Salima Meherali Zohra S. Lassi |
author_facet | Komal Abdul Rahim Natasha J. Egglestone Irakli G. Tsagareli Wania Usmani Salima Meherali Zohra S. Lassi |
author_sort | Komal Abdul Rahim |
collection | DOAJ |
description | Background: Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adolescent pregnancy on the mental outcomes holds prime importance. Thus, this systematic review aims to ascertain the association between adolescent pregnancy on mental health outcomes.Methods: The search strategy was run in June 2023 on databases including PubMed, CINAHL, Scopus, Psych Info, and Embase . Quality assessment of the studies was done using the National Institute of Health (NIH)’s National Heart, Lung and Blood Institute (NHLBI) tool for observational studies. For studies that measured similar outcomes, a meta-analysis was conducted.Findings: The search strategy yielded 21 results from all databases and cross-referencing. Of these, all except for one (case–control) were cross-sectional and cohort studies. The pooled analysis found a significant association between adolescent pregnancy and depression (RR 1.34; 95% CI 1.05, 1.72, 6 studies, heterogeneity: Chi2 P 0.01; I2 = 60%); however, no association was found in anxiety (RR 1.05; 95% CI 0.26, 4.14, 2 studies; heterogeneity: Chi² P = 0.0003; I2 = 93%) and suicidal ideation (RR 3.21; 95% CI 0.17, 59.33; 3 studies; heterogeneity: Chi2 P < 0.00001; I2 = 98%).Implication: These findings suggest that the mental health needs of adolescent mothers must be addressed and innovative and effective interventions that support and address the mental health needs of adolescent mothers are needed to improve their mental health. |
first_indexed | 2024-03-08T09:07:01Z |
format | Article |
id | doaj.art-fffc121dc0514ab6a661c04a918be919 |
institution | Directory Open Access Journal |
issn | 2164-2850 |
language | English |
last_indexed | 2025-02-17T21:52:04Z |
publishDate | 2024-12-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Health Psychology and Behavioral Medicine |
spelling | doaj.art-fffc121dc0514ab6a661c04a918be9192024-12-05T15:52:34ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502024-12-0112110.1080/21642850.2024.2305741Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysisKomal Abdul Rahim0Natasha J. Egglestone1Irakli G. Tsagareli2Wania Usmani3Salima Meherali4Zohra S. Lassi5Internal Medicine, Aga Khan University Hospital, Karachi, PakistanAdelaide Medical School, The University of Adelaide, Adelaide, AustraliaAdelaide Medical School, The University of Adelaide, Adelaide, AustraliaPublic Health Information Development Unit, Torrens University Australia, Adelaide, AustraliaFaculty of Nursing, University of Alberta, Edmonton, CanadaAdelaide Medical School, Robinsons Research Institute University of Adelaide, Adelaide, AustraliaBackground: Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adolescent pregnancy on the mental outcomes holds prime importance. Thus, this systematic review aims to ascertain the association between adolescent pregnancy on mental health outcomes.Methods: The search strategy was run in June 2023 on databases including PubMed, CINAHL, Scopus, Psych Info, and Embase . Quality assessment of the studies was done using the National Institute of Health (NIH)’s National Heart, Lung and Blood Institute (NHLBI) tool for observational studies. For studies that measured similar outcomes, a meta-analysis was conducted.Findings: The search strategy yielded 21 results from all databases and cross-referencing. Of these, all except for one (case–control) were cross-sectional and cohort studies. The pooled analysis found a significant association between adolescent pregnancy and depression (RR 1.34; 95% CI 1.05, 1.72, 6 studies, heterogeneity: Chi2 P 0.01; I2 = 60%); however, no association was found in anxiety (RR 1.05; 95% CI 0.26, 4.14, 2 studies; heterogeneity: Chi² P = 0.0003; I2 = 93%) and suicidal ideation (RR 3.21; 95% CI 0.17, 59.33; 3 studies; heterogeneity: Chi2 P < 0.00001; I2 = 98%).Implication: These findings suggest that the mental health needs of adolescent mothers must be addressed and innovative and effective interventions that support and address the mental health needs of adolescent mothers are needed to improve their mental health.https://www.tandfonline.com/doi/10.1080/21642850.2024.2305741Adolescentdepressionmental healthteenage pregnancypost-partum |
spellingShingle | Komal Abdul Rahim Natasha J. Egglestone Irakli G. Tsagareli Wania Usmani Salima Meherali Zohra S. Lassi Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis Health Psychology and Behavioral Medicine Adolescent depression mental health teenage pregnancy post-partum |
title | Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis |
title_full | Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis |
title_fullStr | Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis |
title_full_unstemmed | Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis |
title_short | Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis |
title_sort | mental health outcomes beyond the post partum period among adolescent mothers a systematic review and meta analysis |
topic | Adolescent depression mental health teenage pregnancy post-partum |
url | https://www.tandfonline.com/doi/10.1080/21642850.2024.2305741 |
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